This module will delve into key concepts and definitions of polypharmacy, adverse drug events (ADE), prescribing cascades and medication nonadherence. The module will explore types of ADEs using examples of drug-drug, drug-disease and drug-herbal interactions, and highlight the impact of ADEs on morbidity and mortality. These will serve as foundational knowledge for course participants in building their skill and behavior on safe prescribing for older adults, as they navigate through the rest of the modules of the course.

This module will identify tools and strategies to reduce inappropriate prescribing including smart phone applications, physical adherence aids and guidelines such as the AGS Beers criteria. It will also introduce a Hierarchy of Medication Evaluation which can help prescribers assess medications before they prescribe them. Patient case examples will be used to apply the concepts of rationale prescribing and deprescribing.

Older adults are more likely to experience more complex care transitions within the health care system and require additional support to address issues such as polypharmacy and adverse drug effects. This module will explore the essential components involved in safe care transitions between different settings of care for older patients. It will emphasize the role of interdisciplinary teams in ensuring seamless transitions and effective information sharing. Additionally, this module will introduce practical tools to guide clinicians in safe prescribing practices for this vulnerable patient population.

Medication management in older adults is complex and requires careful consideration to address issues such as polypharmacy and adverse drug effects. In this final module of the course, participants will review several case-based scenarios to apply concepts learned in previous modules of this course and integrate the Geriatric 5Ms framework and American Geriatrics Society (AGS) and American Society of Clinical Pharmacists (ASCP) Choosing Wisely recommendations to help guide clinical decisions related to medical management for older adults.